Overview

• Parliamentarian Elizabeth MacDonough rejected provisions that would have limited Medicaid access for undocumented immigrants and imposed billions in cuts
• She invoked the Byrd Rule, which limits reconciliation measures to direct budgetary changes
• Senators Tommy Tuberville and Rep. Keith Self called for MacDonough’s firing, but Majority Leader John Thune declined to challenge her ruling
• Senate Democrats, led by Ron Wyden, praised the decision for restoring more than $250 billion in healthcare spending
• Republicans plan to rework the bill under Senate rules to try to advance it by the July 4 deadline